Tricia Rose Nelson, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D13382 Issued in MN

Practice address

2717 Ekko Ave
Albert Lea, MN 56007-2070

Phone

(507) 373-5968

Fax

(507) 373-8410

NPI assigned

Jun 3, 2014

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Advanced Family Dental PA

  • General Practice Dentistry
  • Albert Lea, MN
  • NPI 1548540321
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1401753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470700800000",
    "number": "1922411438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2717 EKKO AVE",
            "city": "ALBERT LEA",
            "state": "MN",
            "postal_code": "560072070",
            "telephone_number": "507-373-5968",
            "fax_number": "507-373-8410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2717 EKKO AVE",
            "city": "ALBERT LEA",
            "state": "MN",
            "postal_code": "560072070",
            "telephone_number": "507-373-5968",
            "fax_number": "507-373-8410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "TRICIA",
        "middle_name": "ROSE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-03",
        "last_updated": "2016-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "D13382",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Judith L Myers, CRNA
• Julie Gates Nafzger, PHYSICAL THERAPIST
• Stacie Alexandra Neal, PHARM D
• Alyse Marie Nelson, C.M.T.
• Joseph Victor Nelson, D.C.
• Kayla Nichole Neubauer, C.M.T, R.T.
• New Richland Drug PC (Curt's Long Term Care Pharmacy)
• Amy M Newman, RN NP
• Tasha Jean Nielsen, LPN
• Teresa K Niemi, PTA

• General Practice Dentistry in Albert Lea, MN
• Providers in Albert Lea, MN by specialty
• General Practice Dentistry in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.